Provider Demographics
NPI:1811412950
Name:CORNERSTONE COUNSELING & CONSULTING
Entity Type:Organization
Organization Name:CORNERSTONE COUNSELING & CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:RENATTE
Authorized Official - Last Name:HORN
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:206-335-7429
Mailing Address - Street 1:9048 SUMMIT CENTRE WAY APT 305
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32810-5970
Mailing Address - Country:US
Mailing Address - Phone:206-335-7429
Mailing Address - Fax:888-977-1564
Practice Address - Street 1:9048 SUMMIT CENTRE WAY APT 305
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32810-5970
Practice Address - Country:US
Practice Address - Phone:206-335-7429
Practice Address - Fax:888-977-1564
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-10
Last Update Date:2022-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60546279101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty